Provider Demographics
NPI:1871575431
Name:NEUCKS, STEVEN HOWARD (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:HOWARD
Last Name:NEUCKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6330 E 75TH STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2717
Mailing Address - Country:US
Mailing Address - Phone:317-588-7130
Mailing Address - Fax:317-588-7133
Practice Address - Street 1:6330 E 75TH STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2717
Practice Address - Country:US
Practice Address - Phone:317-588-7130
Practice Address - Fax:317-588-7133
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01029878207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100331880AMedicaid
IN000000640865OtherBCBS
IN000000087300OtherBLUE CROSS ANTHEM
IN000000087300OtherBLUE CROSS ANTHEM
IN01029878BOtherCSR
IN899980ZMedicare PIN